Eileen Ruthe Shepard, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003162 Issued in NY

Practice address

219 E 69TH St
Suite 1K
New York, NY 10021-5452

Phone

(212) 772-1904

Fax

(212) 772-1970

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1970

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shepard Physical Therapy P.C.

  • Physical Therapist
  • New York, NY
  • NPI 1417935610
  Medicare reassignment NPD Authorized official
• H&D Dynamic Physical & Occupational Therapy, PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1699926139
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1740357482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 BULL PATH",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119374601",
            "telephone_number": "917-750-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E 69TH ST",
            "address_2": "SUITE 1K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215452",
            "telephone_number": "212-772-1904",
            "fax_number": "212-772-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "EILEEN",
        "middle_name": "RUTHE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "003162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheela Shenoy, M.D
• Vrinda Shenoy
• Atibha Sheoran, PA-C
• Shepard Physical Therapy P.C.
• Alice R. Shepard, PHD
• Kimberlin Shepard
• Monae Shepard
• Rachael Ann Shepard, MFT-LP
• Richard Joshua Shepard, DO
• Shakai Shepard, LAC

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.